Ethan D. Moulton is a Idaho Falls, Idaho based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan D. Moulton is D-4093-PE for Periodontology in Idaho. His current practice location is 2375 E Sunnyside Rd Ste I, Idaho Falls. Patients can reach him at 208-522-6683.
Ethan D. Moulton is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ethan D. Moulton speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ethan D. Moulton
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.,M.S.
Accepts Medicare Assignment:
No
Practice Address:
2375 E Sunnyside Rd Ste I, Idaho Falls, Idaho, 83404-8281
Phone:
208-522-6683
Fax:
208-552-3085
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1740222579
NPI Enumeration Date:
13 Jun, 2006
NPI Last Update On:
16 Sep, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan D. Moulton are as mentioned below.
License Number
Specialization
State
Status
D-4093-PE
Periodontology
Idaho
Primary
5588
Dentistry
Oklahoma
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2375 E Sunnyside Rd Ste I, Idaho Falls, Idaho
Zip:
83404-8281
Phone Number:
208-522-6683
Fax Number:
208-552-3085
Patients can reach Ethan D. Moulton at 2375 E Sunnyside Rd Ste I, Idaho Falls, Idaho or can call to book an appointment on 208-522-6683. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.